Individual
MEREK C DEACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1575 N 4TH ST STE 101, LARAMIE, WY 82072-2091
(307) 745-5434
(307) 745-5484
Mailing address
PO BOX 1146, LARAMIE, WY 82073-1146
(307) 745-5434
(307) 745-5484
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1098
WY
Other
Enumeration date
06/14/2007
Last updated
07/08/2007
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